Individual
MRS. LENNIS REBECCA BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.E.,CCC/SLP
Contact information
Practice address
150 HURRICANE VLY, HARDEEVILLE, SC 29927-4056
(843) 784-8400
Mailing address
4 DEVANT CT, BLUFFTON, SC 29909-4535
(843) 705-5538
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2357
SC
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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